Glue embolus complicating the endovascular treatment of a patient with Loeys-Dietz syndrome

Journal of Vascular Surgery
Leopoldo MarineVikram S Kashyap

Abstract

A 34-year-old [corrected] woman was diagnosed with Loeys-Dietz syndrome. Five months later, the patient presented with a symptomatic 2.6-cm subclavian pseudoaneurysm. Staged endovascular treatment was initiated with left vertebral artery embolization, followed by sac ablation and stent graft exclusion. The pseudoaneurysm cavity was filled with n-butylcyanoacrylate ("glue") via a microcatheter. Despite balloon occlusion of the pseudoaneurysm orifice, a small amount of glue debris embolized to the brachial artery, necessitating a vein bypass. In this case, distal embolization of glue may have been avoided by leaving a microcatheter in the aneurysm sac for glue injection after first deploying the stent graft.

References

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May 28, 2009·Pediatric Radiology·Ajay Malhotra, Per-Lennart Westesson

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Citations

Mar 1, 2014·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Gretchen MacCarrickHarry C Dietz
Nov 4, 2011·Journal of Vascular Surgery·John Westley OhmanAli Azizzadeh
Oct 27, 2018·Revista do Colégio Brasileiro de Cirurgiões·Bruno Monteiro PereiraGustavo Pereira Fraga

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